At a news conference Tuesday, officials announced a collaborative decision among transport services that all trauma patients will be taken to Nebraska Medicine, beginning Wednesday morning.

"Our protocol is very clear, and our protocol says we will transport a trauma patient to a trauma center," Kanger said.

Patients who are not trauma candidates will be able to choose a hospital.

The decision was made solely due to CHI Health CUMC's failure to achieve Level 1 Trauma certification, Kanger said.

Earlier in the day, Carol Gupton, Midlands Protocal Committee chairperson, said the group was revising the current trauma transportation protocol.

Nebraska DHHS has omitted CHI Creighton from an updated list of state-certified trauma centers published Monday.

"We're prepared to take the most critically injured patients that arrive here on any day, 24 hours a day, seven days a week, and we'll operate in that capacity just simply without the designation of the state," CHI Health Creighton University Medical Center President Kevin Nokels said.

In a statement, CHI Creighton maintains the state told the hospital it could still operate a trauma center, despite failing its Level 1 certification. The hospital confirmed its trauma center holds no state certification.

"We are still talking with the state," a spokesperson for CHI Creighton said Tuesday. "Nothing changed in the facility overnight."